Elenitsas, Rosalie

Elenitsas, Rosalie is an individual health care provider with primary practice located at 3400 Spruce Street 2 Maloney Building, Philadelphia PA 19104-4206. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Elenitsas, Rosalie can be contacted via phone (215) 662-2737.

Contact Information

Primary practice address
3400 Spruce Street 2 Maloney Building Philadelphia PA 19104-4206
Phone: (215) 662-2737
Fax: (215) 349-8339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD037866E Pennsylvania
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD037866E Pennsylvania

Profile Details

NPI number 1932134533
LBN Legal business name Elenitsas, Rosalie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 20th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932134533 NPPES
Pennsylvania MEDICAID 001637400001

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